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Deactivated NPI 1770050080 Deactivated / Inactive NPI Female Practitioner

Gussie Baccus , RN

Registered Nurse - General Practice • Covington, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Gussie Baccus has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 25, 2018
NPI Deactivation Date April 17, 2025
Total Practice Duration ~7 Years of Practice (2018 – 2025)

Professional Overview & Biography Verified Profile Summary

Gussie Baccus, RN was a registered Registered Nurse - General Practice practicing in Covington, GA. Throughout an active medical career spanning 7 years, Gussie Baccus provided care at the practice location at 115 WELLINGTON TRL until profile deactivation on 2025-04-17.

Practice Location & Contact Primary Location

Practice Address

115 Wellington Trl

Covington, GA 300168629

Telephone 4046459283

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse - General Practice in Covington, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 4.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Covington, GA (104 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse - General Practice Primary Specialty

NUCC Taxonomy Code: 163WG0000X

State License GA RN111211

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 17, 2025

Record deactivated on April 17, 2025

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NPI Profile Active October 25, 2018

NPI status registered as active in NPPES database

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Updated Practice Location October 25, 2018

Registered at 115 WELLINGTON TRL, COVINGTON, GA 300168629 (Tel: 4046459283)

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Updated Business Mailing Address October 25, 2018

Registered at 115 WELLINGTON TRL, COVINGTON, GA 300168629 (Tel: 4046459283)

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Provider Name / Credentials Updated October 25, 2018

Recorded as GUSSIE BACCUS, RN

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2018

Registered Nurse (License #RN111211 in GA)

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Initial NPI Registration & Enumeration October 25, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1770050080
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2018
Last Update: October 25, 2018
Deactivation Date: April 17, 2025
Update or Correct Profile

Mailing Address

115 Wellington Trl

Covington, GA 300168629

Phone: 4046459283

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.